You have reached the original website of the |
WCC MEMORANDUMS |
MEMORANDUM NO. 2007-06
TO: | Commissioners, District Administrators, Self-Insureds, Insurance Carriers, Attorneys, Unions, Legal Advisory Panel and Advisory Board Members |
FROM: | John A. Mastropietro, Chairman |
DATE: | September 24, 2007 |
RE: | Form 30D |
For the convenience of the parties, a "Dependent's Notice of Claim" form has now been established and designated as Form 30D, which is to be utilized by a dependent survivor who wishes to file a claim.
For your convenience, this form can be filled out and downloaded from our website at:
You have reached the original website of the |
WCC MEMORANDUMS |